INTAKE FORM - Private Spirit Divination Readings + Wellness Consultations

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Thank you for taking your spiritual health and optimal wellness into your hands. I am looking forward to supporting you in harnessing your true power and potential for vital wellbeing, connecting to your spirit guides and living a pain-free, intentional, embodied and empowered life.

Please complete this short form below as the first step in our journey.

With Love + Radiant Health,
Shanti

P.S. If you haven't already you may want to learn more about me and my work in the world by taking a little journey around my website, perhaps to read some of my blogs and to find out about upcoming events + retreats, at http://www.EnergizeShanti.com

Email *

FIRST NAME *

LAST NAME *

CELL PHONE Number *

Are you wishing to schedule: *

60 or 30 minute Zoom session or audio recording

In person in Boulder, CO

Gift Certificate for a loved one to have a private reading/session.

Which type of consultation are you wishing to schedule? *

60 minute Body Current® optimal wellness/trauma therapy with herbal remedies consultation

30 minute Body Current ® optimal wellness/trauma therapy with herbal remedies consultation (only offered by zoom)

60 minute Spirit Divination Reading

30 minute Spirit Divination Reading (only by zoom)

60 minute Sound Healing/personal ritual/threshold crossing

60 minute private Qigong, Yoga Therapy, Shamanic Healing + Power Animal Divination

30 minute private Qigong, Yoga Therapy, Shamanic Healing + Power Animal Divination (only by zoom)

60 minute personalized plant medicine and herbal remedies consultation

30 minute personalized plant medicine and herbal remedies consultation (via ZOOM or phone)

30 minute audio recorded Spirit Divination or Solar Return Reading emailed to your inbox (or a loved one's). This is not a face-to-face session. It is audio recorded and a photo of the reading is sent along with the audio.

What specific areas in your life/health are feeling great to you and which areas are you feeling you need support? *

Do you have anything else you wish to share with me at this time?

A copy of your responses will be emailed to the address you provided.

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